Organization · NPI-2

61-3 Medical PC

· New York, NY

NPI number1407729940
StatusActive
Last updated in NPPESSep 29, 2025

Details

NPI
1407729940
Entity type
Organization (NPI-2)
Legal business name
61-3 Medical PC
Organization subpart
No
Enumeration date
Sep 29, 2025
Certification date
Sep 29, 2025
Last updated
Sep 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X ––Yes

Practice location

1041 3rd Ave, 2nd Fl
New York, NY 10065-8114

Phone 212-362-3470

Mailing address

1041 3rd Ave, 2nd Fl
New York, NY 10065-8114

Authorized official

Crystal Toussaint
Administrative Assistant
2123623470

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